Comparative study on three methods of hepatic vascular occlusion in hepatectomy

VernacularTitle:三种入肝血流阻断方式肝切除的临床应用比较
Author: Yinghe QIU ; Bin YI ; Chen LIU ; Xiangji LUO ; Weifeng TAN ; Yong YU ; Xiaoqing JIANG ; Bohe ZHANG ; Mengchao WU
Publication Type:Journal Article
Keywords: Hepatectomy; Liver carcinoma; Hepatic artery
From: Chinese Journal of Hepatobiliary Surgery 2010;16(10):728-730
CountryChina
Language:Chinese
Abstract: Objective To compare the safety and damage to liver function of 3 methods of hepatic infusive vascular occlusion in hepatectomy for hepatocellular carcinoma. Methods Retrospectively, the clinical data of patients undergoing curative liver resection with pan- (n=30) and hemi(n= 30) vascular occlusion or hemi-hepatic artery reservation (n= 30) method were analyzed. Results All patients in the 3 groups had similar surgical duration and blood loss. Two and one patients from group 2 suffered from portal vein impairment and hemorrhea, respectively. Patients from group 1 had higher serum alanine aminotransferase and total bilirubin on days 1 and 7 after surgery. Conclusion Hepatectomy with hemi-hepatic artery reservation, which was not closely related to hepatic hilum, is safe and convenient for the resection of tumor involving hemi-liver and is especially suitable for the patients with severe liver cirrhosis.